扬州某综合性医院就诊患者HIV感染状况分析

Analysis of HIV infection status among outpatients of a general hospital in Yangzhou

目的：了解扬州地区来院就诊患者 HIV 感染状况的分布特点，为该地区的大规模调查作有益补充，特别为医院感染控制工作提供依据。方法回顾性分析2007～2012年该院就诊患者 HIV 筛查情况。结果6年间共检测108999份标本，初筛阳性88例，确认阳性81例，抗-HIV 抗体阳性率为0．074％。除自愿咨询检测外，门诊肛肠科和住院血液内科送检标本有较高的阳性检出率，分别为1．16％和0．84％。结论非传染病专科的综合性医院 HIV 感染率呈上升趋势，重点科室要加大医务人员培训力度，重视 HIV/AIDS 的早期诊断，预防医院感染，降低职业暴露发生的风险。

Objective To understand the distribution characteristics of HIV infection status among the outpatients in this hospi-tal to provide the beneficial supplement for local large-scale survey and the basis especially for the hospital infection control.Meth-ods The HIV screening situation on the outpatients of our hospital from 2007 to 2012 was retrospectively analyzed.Results Dur-ing these 6 years,108 999 specimens were detected,88 cases were positive in the preliminary screening and 81 cases were confirmed positive.The positive rate of anti-HIV antibody was 0.074%.In addition to voluntary counseling and testing,the specimens submit-ted by the outpatient anorectal department and the inpatient hematology department had the higher positive detection rate,which was 1.16% and 0.84% respectively.Conclusion The HIV infection rate in non-infectious disease specialized hospitals shows the increasing trend.The key departments must increase the intensity of the medical staff training,pay attention to early diagnosis of HIV/AIDS,prevent the hospital infection and reduce the risk occurred after the occupation exposure.